Active NPI
Tarrant County Senior Living Center, Inc.
Doing business as The Stayton at Museum Way
- Skilled Nursing Facility
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TARRANT COUNTY SENIOR LIVING CENTER, INC.
- Doing business as
- The Stayton at Museum Way
- Practice address
- 2501 Museum Way
Fort Worth, TX 76107-3057 - Phone
- (817) 332-3332
- NPI assigned
- Jul 20, 2011
- Last updated
- Aug 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Dale Robbins
- Title
- President
- Phone
- (231) 578-4064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2501 Museum Way
Fort Worth, TX 76107-3057
Mailing address
2501 Museum Way
Fort Worth, TX 76107-3058
Phone (817) 332-3332
Other names 1
- The Stayton at Museum Way
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110902000579 | TX | Part A Provider - Skilled Nursing Facility | 0345410106 | Practice locations: Fort Worth, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1750679098. Details of each certification follow.
Skilled nursing facility certification: CCN 676305
- Legal name
- TARRANT COUNTY SENIOR LIVING CENTER, INC.
- Doing business as
- THE STAYTON AT MUSEUM WAY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Dec 29, 2011
- Last certification
- Sep 6, 2024
- Beds
- 46
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Buckner Retirement Services
- Organization structure
- Corporation
- Incorporated
- Oct 26, 2006 in TX
- Enrollment address
- 2501 Museum Way
Stayton at Museum Way
Fort Worth, TX 76107-3057 - Nursing home name
- THE STAYTON AT MUSEUM WAY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Stayton at Museum Way
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Dec 29, 2011
- Medicare certification status
- Active
- Certified beds
- 46
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2030436 | Stayton at Museum Way by Buckner, the | Certificate of waiver | Sep 27, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Buckner Villa Siesta Home
- Assisted Living Facility
- Austin, TX
- NPI 1841301868
Member Of
Locations
2720 W 7th St
Ste 200
Fort Worth, TX 76107
Ownership & related parties
All disclosed owners & managing parties 23
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Jul 28, 2025 | ||
| Tarrant County Senior Living Center, Inc. | 5% Or Greater Direct Ownership Interest | Jun 1, 2024 | 100% |
| Adp of the SNF | Jun 1, 2024 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Jessica Moore | Operational/Managerial Control | Apr 12, 2012 | |
| Adp of the SNF | Apr 12, 2012 | ||
| Ivan T Lancaster | Trustee of the SNF | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Nov 1, 2017 | ||
| Lisa Eady | Trustee of the SNF | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Buckner Retirement Services Inc | 5% Or Greater Indirect Ownership Interest | Jun 1, 2024 | 100% |
| Operational/Managerial Control | Jun 1, 2024 | ||
| Adp of the SNF | Jun 1, 2024 | ||
| Adp of the SNF | Jul 29, 2025 | ||
| Adp of the SNF | Jul 29, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Trustee of the SNF | Jan 1, 2025 | ||
| Kenneth D Robbins | Corporate Director | Apr 21, 2025 | |
| Operational/Managerial Control | Apr 25, 2025 | ||
| Adp of the SNF | Apr 21, 2025 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Buckner Westminster Place
- Skilled Nursing Facility
- Longview, TX
- NPI 1063571552
5% Or Greater Indirect Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Parkway Place
- Skilled Nursing Facility
- Houston, TX
- NPI 1407853971
5% Or Greater Indirect Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Calder Woods
- Skilled Nursing Facility
- Beaumont, TX
- NPI 1689608614
5% Or Greater Indirect Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Buckner Villa Siesta Home
- Assisted Living Facility
- Austin, TX
- NPI 1841301868
5% Or Greater Indirect Ownership Interest, Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Buckner Westminster Place
- Skilled Nursing Facility
- Longview, TX
- NPI 1063571552
Buckner Retirement Services Inc
-
dba Parkway Place
- Skilled Nursing Facility
- Houston, TX
- NPI 1407853971
Buckner Retirement Services Inc
Practitioners & affiliated clinicians
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Fort Worth, TX
- NPI 1649234568
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Fort Worth, TX
- NPI 1184002891
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1750679098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 MUSEUM WAY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761073058",
"telephone_number": "817-332-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 MUSEUM WAY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761073057",
"telephone_number": "817-332-3332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARRANT COUNTY SENIOR LIVING CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-20",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "ROBBINS",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "231-578-4064"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd",
"address_2": "SteB",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Stayton at Museum Way",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Stayton at Museum Way",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
- Tarrant County Physical Therapy
- Tarrant County Physicians Choice Homecare LLC (Above & Beyond Home Health & Rehab)
- Tarrant County Public Health
- Tarrant County Public Health Dept.
- Tarrant County Samaritan Housing, Inc. (Samaritan House)
- Tarrant County Surgical Center LLC
- Tarrant Dental Group PLLC (Texas Endodontic Center - Tarrant)
- Tarrant Diagnostic Imaging, LLC (TDI Molecular Imaging)
- Tarrant Emergency Physicians
- Tarrant Family Practice P.a (Northwest Family Practice Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.